McDonalds' menu is not designed for folk like you. In my part of the world, we had traditional fast-food joints where the question would be inverse: out of the things you can see and add to your burger, pick a few. That is very efficient with a human prepping your burger.
Hm? McDonalds is one of the best for customization. Everything is removable and the software knows the calorie count of each ingredient so the total that shows up next to each item in the cart is accurate